Part B News Features
Federal regulators continue to signal that delayed patient access to medical records is one of the most visible and enforceable areas of HIPAA compliance. ... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Certain specialties reporting the Medicare-approved virtual check-in service drew miniscule denial rates, with cardiology returning a scant 0.9% denial rate across nearly 7,000 claims. But other speci... More
Federal regulators continue to signal that delayed patient access to medical records is one of the most visible and enforceable areas of HIPAA compliance. ... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Certain specialties reporting the Medicare-approved virtual check-in service drew miniscule denial rates, with cardiology returning a scant 0.9% denial rate across nearly 7,000 claims. But other speci... More
Tools
Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.
Get a head start on revisions to codes in the E/M, cardiovascular, radiology and medicine chapters of the 2026 CPT Manual. The following chart contains the current and revised long descriptors for codes that CMS released in the proposed 2026 Medicare physician fee schedule and intends to assign an active (A) payment status
Benchmark of the Week
Certain specialties reporting the Medicare-approved virtual check-in service drew miniscule denial rates, with cardiology returning a scant 0.9% denial rate across nearly 7,000 claims. But other specialties, such as nurse practitioner and nephrology, saw elevated denial rates on their billing attempts.
Specialties with high utilization of a mandatory advance beneficiary notice of noncoverage (ABN) usually received payment for claims with ABN modifier GA (Waiver of liability statement issued as required by payer policy, individual case). In addition, many, but not all, of those providers frequently forgot to get mandatory ABNs to patients in a timely fashion.

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